NPIMap

Organization Active NPI

Innovations by Gomes Incorporated

  • Mental Health Counselor
  • Clarkston, MI
National Provider Identifier
1881389906
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNOVATIONS BY GOMES INCORPORATED
Practice address
7640 Dixie Hwy Ste 155
Clarkston, MI 48346-2095
Phone
(248) 318-7051
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gerald Gomes
Title
Clinic Owner
Phone
(586) 675-8432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7640 Dixie Hwy Ste 155
Clarkston, MI 48346-2095

Mailing address

7640 Dixie Hwy Ste 155
Clarkston, MI 48346-2095
Phone (248) 579-9150

Other names 1

  • Ellie Mental Health - Clarkston Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230905003299 MI Part B Supplier - Clinic/Group Practice 0446613665 Receives reassigned benefits from 6 practitioners
Practice locations: Clarkston, MI

National Provider Directory

National Provider Directory

Locations

7640 Dixie Hwy
Ste 155
Clarkston, MI 48346
Phone (248) 791-9266

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1881389906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 DIXIE HWY STE 155",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462095",
            "telephone_number": "248-579-9150",
            "fax_number": "248-392-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 DIXIE HWY STE 155",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462095",
            "telephone_number": "248-318-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS BY GOMES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "586-675-8432"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health - Clarkston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.